Evergreen at Heartwood Avenue, L.l.c.
NPI #1245288083 in Vallejo, California
Provider Information
- NPI Number
- 1245288083
- Entity Type
- Organization
- Organization Name
- Evergreen at Heartwood Avenue, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EMPRES CALIFORNIA HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 4, 2006
- Last Updated
- Jan 30, 2017
Practice Location
- Address
- 1044 HEARTWOOD AVE
- City
- Vallejo
- State
- California
- ZIP Code
- 94591-5637
- Phone
- (707) 643-2267
Authorized Official
- Name
- BRENT WEIL
- Title
- CEO AND MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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